ANDALUSIA EYE CLINIC LLC
NPI: 1629133111
· ANDALUSIA, AL 36421
· 207W00000X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,224 |
$0.00 |
| 2019 |
812 |
$0.00 |
| 2020 |
528 |
$0.00 |
| 2021 |
242 |
$0.00 |
| 2022 |
66 |
$0.00 |
| 2023 |
2,964 |
$60K |
| 2024 |
4,617 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,009 |
986 |
$52K |
| 92250 |
|
1,188 |
1,161 |
$37K |
| V2020 |
Vision svcs frames purchases |
866 |
854 |
$14K |
| 92340 |
|
830 |
813 |
$14K |
| 92004 |
|
98 |
96 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
988 |
562 |
$9K |
| 92015 |
|
925 |
903 |
$7K |
| V2410 |
Lens variab asphericity sing |
382 |
190 |
$5K |
| 99214 |
|
89 |
80 |
$5K |
| V2784 |
Lens polycarb or equal |
1,726 |
854 |
$3K |
| V2750 |
Anti-reflective coating |
59 |
30 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
92 |
65 |
$896.84 |
| 1036F |
|
540 |
512 |
$0.00 |
| G8422 |
Pt inelig bmi calculation |
60 |
56 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
742 |
700 |
$0.00 |
| 2026F |
|
31 |
30 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
761 |
715 |
$0.00 |
| 92134 |
|
14 |
12 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
22 |
18 |
$0.00 |
| 2022F |
|
14 |
12 |
$0.00 |
| 5010F |
|
17 |
13 |
$0.00 |